Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,258.93 / $9,120.11	Facility		$251.19	$1,258.93	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $436.52	Professional		$131.83	$229.09	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $245.47	Professional		$107.15	$154.88	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $1,148.15	Facility		$354.81	$645.65	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $416.87	Professional		$138.04	$245.47	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $537.03	Facility		$501.19	$501.19	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $323.59	Professional		$158.49	$239.88	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $234.42 / $363.08	Facility		$151.36	$234.42	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,230.27 / $3,548.13	Facility		$380.19	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $380.19	Professional		$128.82	$199.53	$380.19